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Exhibit A effective 2014

End User Agreement:
License for use of current procedural terminology, fourth edition> (“CPT®”)

CPT only copyright 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
You, your employees and agents are authorized to use CPT only as contained in the Workers’ Compensation Medical Fee Schedule solely for your own personal use in directly participating in healthcare programs administered by DLIR. You acknowledge that AMA holds all copyright, trademark and other rights in CPT.
Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt.

U.S. Government Rights
This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

Disclaimer of Warranties and Liabilities
CPT is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the American Medical Association (AMA) is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with DLIR, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

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Disability Compensation Division

TIẾNG VIỆT: VIETNAMESE

Bạn có cần giúp đỡ bằng ngôn ngữ khác không ? Chúng tôi se yêu cầu một người thông dịch viên miễn phí cho bạn. Gọi (808-586-9151) nói cho chúng tôi biết bạn dùng ngôn ngữ nào.

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

TAGALOG: TAGALOG

Kailangan ba ninyo ng tulong sa ibang lengguwahe? Ikukuha namin kayo ng libreng tagasalin. Tumawag sa (808-586-9151) para sabihin kung anong lengguwahe ang nais ninyong gamitin.

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

ภาษาไทย: THAI

คุณต้องการความช่วยเหลือทางด้านภาษาหรือไม่ ทางเราจะจัดหาล่ามฟรีให้คุณ โทรที่เบอร์ (808-586-9151) และบอกเราว่าคุณพูดภาษาอะไร

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

ESPAÑOL: SPANISH

¿Necesita ayuda en otro idioma? Nosotros le ayudaremos a conseguir un intérprete gratuito. Llame al (808-586-9151) y diganos que idioma habla.

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

GAGANA SAMOA: SAMOAN

E te mana’o mia se fesosoani i se isi gagana? Matou te fesosoani e ave atu fua se faaliliu upu mo oe. Vili mai i le numera lea (808-586-9151) pea e mana’o mia se fesosoani mo se faaliliu upu.

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

KAJIN MAJÔL: MARSHALLESE

Kwoj aikuij ke jiban kin juon bar kajin? Kim naj lewaj juon am dri ukok eo ejjelok wonen. Kirtok (808-586-9151) im kwalok non kim kajin ta eo kwo melele im kenono kake.

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

한국어: KOREAN

다른언어로 도움이 필요하십니까? 저희가 무료로 통역을 제공합니다. (808-586-9151) 로 전화해서 사용하는 언어를 알려주십시요

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

日本語 (JAPANESE)

貴方は、他の言語に、助けを必要としていますか ? 私たちは、貴方のために、無料で 通訳を用意で きます。電話番号の (808-586-9151) に、電話して、私たちに貴方の話されている言語を申し出てください。

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

ILOKANO: ILOCANO

Masapulyo kadi ti tulong iti sabali a pagsasao? Ikkandakayo iti libre nga paraipatarus. Awaganyo ti (808-586-9151) tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo.

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

ʻŌLELO HAWAIʻI: HAWAIIAN

Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? Makemake la maua i ki`i `oe mea unuhi manuahi. E kelepona (808-586-9151) `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e.

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

KAPASEN CHUUK: CHUUKESE

En mi niit alilis lon pwal eu kapas? Sipwe angei emon chon chiaku ngonuk ese kamo. Kokori (808-586-9151) omw kopwe ureni kich meni kapas ka ani.

You have the right to an interpreter
at no cost to you.

Disability Compensation Division

中文 – CHINESE Mandarin

您需要其它語言嗎?如有需要, 請致電 (808-586-9151), 我們會提供免費翻譯服 (Traditional)

您需要其它语言吗?如有需要,请致电 (808-586-9151), 我们会提供免费翻译服务 (Simplified)

You have the right to an interpreter at no cost to you.

Disability Compensation Division

中文 – CHINESE: Cantonese

您需要其它語言嗎?如有需要, 請致電 (808-586-9151), 我們會提供免費翻譯服務 (Traditional)

您需要其它语言吗?如有需要,请致电 (808-586-9151), 我们会提供免费翻译服务 (Simplified)

You have the right to an interpreter at no cost to you.

Disability Compensation Division

VISAYAN: CEBUANO

Gakinahanglan ka ba ug tabang sa imong pinulongan? Amo kang mahatagan ug libre nga maghuhubad. Tawag sa (808-586-9151) aron magpahibalo kung unsa ang imong sinulti-han.

You have the right to an interpreter at no cost to you.